MADDISON RAE MAXEDON APRN
NPI 1629862982
Nurse Practitioner in Mt Zion, IL
About Maddison Rae Maxedon Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADDISON RAE MAXEDON APRN (NPI 1629862982) is an individual nurse practitioner in Mt Zion, Illinois, licensed in Illinois (209.032157) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Maddison Rae Maxedon Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Maddison Maxedon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mt. Zion, IL 62549
- Reassigned Medicare billing, Illinois enrollment
- 16 clinicians in this Medicare group
Monticello, IL 61856
- Reassigned Medicare billing, Illinois enrollment
- 171 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Decatur Memorial Hospital
Acute Care Hospitals · Decatur, ILSt Marys Hospital
Acute Care Hospitals · Decatur, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62549 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MOUNT ZION, IL 62549
MT ZION, IL 62549
MT ZION, IL 62549
MT ZION, IL 62549
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Maddison Maxedon's NPI number?
The NPI number for Maddison Maxedon is 1629862982. It was assigned to this individual provider in the NPPES registry on April 9, 2025.
Where is Maddison Maxedon located?
Maddison Maxedon practices at 104 E Ashland Ave, Mt Zion, IL 62549. The listed phone number is (217) 864-2665.
What is Maddison Maxedon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Maddison Maxedon enrolled in Medicare?
Yes. Maddison Maxedon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Maddison Maxedon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maddison Maxedon reassigns Medicare benefits to 2 organizations: Decatur Orthopedic Center, LLC (Mt. Zion, IL) and Kirby Medical Center (Monticello, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maddison Maxedon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Maddison Maxedon affiliated with any hospitals?
According to CMS data, Maddison Maxedon is affiliated with Decatur Memorial Hospital and St Marys Hospital.
When was this NPI record last updated?
The NPPES record for Maddison Maxedon was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Maddison Rae Maxedon, APRN · NPI 1629862982
Nurse Practitioner physician in Mt Zion, Illinois. Individual provider, active in the CMS NPPES registry since April 9, 2025.
## Identity
- **NPI:** 1629862982 (Entity type: Individual)
- **Enumerated:** April 9, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 209.032157 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 104 E ASHLAND AVE, Mt Zion, IL 62549-1271
- **Phone:** (217) 864-2665
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Decatur Orthopedic Center, LLC (NPI 1336586114, Mt. Zion, IL); Kirby Medical Center (NPI 1386635373, Monticello, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629862982) · Data from the CMS NPPES public registry.